Evidence map›Paper›PMID 36417657›Full record

ArticleRevista da Associacao Medica Brasileira (1992)2022

Comparison of the outcomes of flexible ureteroscopy and mini-percutaneous nephrolithotomy for the treatment of kidney stones: a matched-pair analysis.

Jose Eduardo Castro Matheus Rodrigues, Fabio Carvalho Vicentini, Alexandre Danilovic, Giovanni Scala Marchini, Fabio Cesar Miranda Torricelli, Carlos Alfredo Batagello, Eduardo Mazzucchi, William Carlos Nahas

Open access · diamondAbstract read
In one paragraph

Article in Revista da Associacao Medica Brasileira (1992), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Jose Eduardo Castro Matheus RodriguesUniversidade de São Paulo, Hospital of Clinics - São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0003-4675-3473
Fabio Carvalho VicentiniUniversidade de São Paulo, Hospital of Clinics - São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0003-3745-341X
Alexandre DanilovicUniversidade de São Paulo, Hospital of Clinics - São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0002-6963-6117
Giovanni Scala MarchiniUniversidade de São Paulo, Hospital of Clinics - São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0003-4334-9803
Fabio Cesar Miranda TorricelliUniversidade de São Paulo, Hospital of Clinics - São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0002-2051-6376
Carlos Alfredo BatagelloUniversidade de São Paulo, Hospital of Clinics - São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0002-7240-7956
Eduardo MazzucchiUniversidade de São Paulo, Hospital of Clinics - São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0002-1328-7421
William Carlos NahasUniversidade de São Paulo, Hospital of Clinics - São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0002-7395-8370
Universidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMini-percutaneous nephrolithotomy is a recent advancement in the field of kidney stone treatment; however, its role has not been completely established. We aimed to compare the outcomes of initial Mini-percutaneous nephrolithotomy and flexible ureteroscopy.

methodsA retrospective review of consecutive mini-percutaneous procedures was performed. Inclusion criteria were as follows: all percutaneous nephrolithotomy procedures performed with an access sheath up to 24Fr, kidney stone burdens up to 1550 mm3; and the presence of postoperative computed tomography (for control). The data collected for Mini-percutaneous nephrolithotomy procedures were paired 1:2 with patients treated with flexible ureteroscopy for stones between 100 and 1550 mm3, and with postoperative computed tomography for control. A 14Fr Mini-percutaneous nephrolithotomy set was used. The stone-free rate was defined as the absence of fragments on the control computed tomography, whereas success was limited to 2-mm residual fragments. Statistical analysis was performed using SPSS version 19.

resultsA total of 63 patients met the inclusion criteria (42 with flexible ureteroscopy and 21 with mini-percutaneous nephrolithotomy). Demographic data were comparable. The stone-free rate and success were similar between the groups (76.2 vs. 66.7%, p=0.42 and 90.5 vs. 85.7%, p=0.57). The complication rate was also similar (26.1 vs. 9.6%, p=0.188), but Mini-percutaneous nephrolithotomy had longer hospitalization and fluoroscopy time (p=0.001 in both).

conclusionsOur initial study of Mini-percutaneous nephrolithotomy showed that it is a promising procedure, with outcomes similar to flexible ureteroscopy, but with higher inpatient numbers and fluoroscopy times. A larger study population size and better equipment may improve the outcomes of mini-percutaneous nephrolithotomy.

Indexed as

Kidney CalculiNephrolithotomy, PercutaneousNephrostomy, PercutaneousHumansMatched-Pair AnalysisTreatment OutcomeUreteroscopy

Identifiers

PMID36417657
PMCPMC9683915
OpenAlexW4310334663

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.